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Published in: Archives of Osteoporosis 1-2/2011

Open Access 01-12-2011 | Original Article

Influence of menopause on mandibular bone quantity and quality in Japanese women receiving dental implants

Authors: M. Munakata, N. Tachikawa, E. Honda, M. Shiota, S. Kasugai

Published in: Archives of Osteoporosis | Issue 1-2/2011

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Abstract

Summary

The purpose of this study was to evaluate the effect of menopause on bone mineral density and bone width of the mandible. Results indicate that menopause affects the bone quality and quantity of the partially edentulous molar region of the mandible, which should be considered in dental implant treatment for postmenopausal women.

Introduction

The recovery of oral function with dental implant is clinically effective and highly predictable. Bone quantity and quality at the implant installation site affect its prognosis; however, the effects of menopause on jaw bone have not been well documented. The purpose of this study was to evaluate the effect of menopause on bone mineral density (BMD) and bone width of the mandible.

Methods

The subjects were 72 female patients with a partially edentulous molar region of the mandible: 30 premenopausal and 42 postmenopausal women aged 30 to 70 years. Trabecular BMD was measured with quantitative computed tomography. Trabecular region width (TW) and cortical width (CW) were measured with CT. The BMD, TW, and CW of the two groups were compared.

Results

The trabecular BMD of postmenopausal women was lower than that of the premenopausal women. The TW of postmenopausal women was greater than that of premenopausal women, whereas the CW of postmenopausal women was significantly smaller than that of premenopausal women. In all these women, BMD correlated negatively with TW and positively with CW. In the premenopausal women, BMD negatively correlated with TW, but it did not correlate with CW. In the postmenopausal women, there was no correlation between BMD and bone width.

Conclusion

These results indicate that menopause affects the bone quality and quantity of the partially edentulous molar region of the mandible, which should be considered in dental implant treatment for postmenopausal women.
Literature
1.
go back to reference Lekholm U, Zarb GA (1985) Patient selection and preparation. In: Branemark PI, Zarb GA, Albrektsson T (eds) Tissue-integrated prosthesis: osseointegration in clinical dentistry. Quintessence, Chicago, pp 199–209 Lekholm U, Zarb GA (1985) Patient selection and preparation. In: Branemark PI, Zarb GA, Albrektsson T (eds) Tissue-integrated prosthesis: osseointegration in clinical dentistry. Quintessence, Chicago, pp 199–209
2.
go back to reference Misch CE (1993) Density of bone: effect on treatment planning, surgical approach, and healing. In: Contemporary implant dentistry. Mosby, St. Louis, pp 469-485 Misch CE (1993) Density of bone: effect on treatment planning, surgical approach, and healing. In: Contemporary implant dentistry. Mosby, St. Louis, pp 469-485
3.
go back to reference Johanson P, Strid KG (1994) Assessment of bone quality from cutting resistance during implant surgery. Int J Oral Maxillofac Implants 9:279–288 Johanson P, Strid KG (1994) Assessment of bone quality from cutting resistance during implant surgery. Int J Oral Maxillofac Implants 9:279–288
4.
go back to reference Genant HK, Cann CE, Ettinger B, Gorden GS (1982) Quantitative CT of vertebral spongisa: a sensitive method for detecting early bone loss after oophorectomy. Ann Intern Med 97:699–705PubMed Genant HK, Cann CE, Ettinger B, Gorden GS (1982) Quantitative CT of vertebral spongisa: a sensitive method for detecting early bone loss after oophorectomy. Ann Intern Med 97:699–705PubMed
5.
go back to reference Benson BW, Phihoda TJ, Glass BJ (1991) Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surg Oral Med Oral Pathol 71:349–356PubMedCrossRef Benson BW, Phihoda TJ, Glass BJ (1991) Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surg Oral Med Oral Pathol 71:349–356PubMedCrossRef
6.
go back to reference Von Wowern N (1988) Bone mineral content of mandibles: normal reference values-rate of age-related bone loss. Calcif Tissue Int 43:193–198CrossRef Von Wowern N (1988) Bone mineral content of mandibles: normal reference values-rate of age-related bone loss. Calcif Tissue Int 43:193–198CrossRef
7.
go back to reference Bras J, van Ooij CP, Abraham-Inpijin L, Kusen GJ, Wilmink JM (1982) Radiographic interpretation of the mandibular angular cortex: a diagnostic tool in metabolic bone loss. Part 1. Normal state. Oral Surg Oral Med Oral Pathol 53:541–545PubMedCrossRef Bras J, van Ooij CP, Abraham-Inpijin L, Kusen GJ, Wilmink JM (1982) Radiographic interpretation of the mandibular angular cortex: a diagnostic tool in metabolic bone loss. Part 1. Normal state. Oral Surg Oral Med Oral Pathol 53:541–545PubMedCrossRef
8.
go back to reference Ito M, Hayashi K, Kawahara Y, Uetani M, Imaizumi Y (1993) The relationship trabecular and cortical bone mineral density to spinal fractures. Invest Radiol 28:573–580PubMedCrossRef Ito M, Hayashi K, Kawahara Y, Uetani M, Imaizumi Y (1993) The relationship trabecular and cortical bone mineral density to spinal fractures. Invest Radiol 28:573–580PubMedCrossRef
9.
go back to reference Kroger H, Tuppurainen M, Honkanen R, Alhava E, Saarikoski S (1994) Bone mineral density and risk factors for osteoporosis: a population-based study of 1,600 perimenopausal women. Calcif Tissue Int 55:1–7PubMedCrossRef Kroger H, Tuppurainen M, Honkanen R, Alhava E, Saarikoski S (1994) Bone mineral density and risk factors for osteoporosis: a population-based study of 1,600 perimenopausal women. Calcif Tissue Int 55:1–7PubMedCrossRef
10.
go back to reference Kin K, Kushida K, Yamazaki K, Okamoto S, Inoue T (1991) Bone mineral density of the spine in normal Japanese subjects using dual energy X-ray absorptiometry. Calcif Tissue Int 55:324–329 Kin K, Kushida K, Yamazaki K, Okamoto S, Inoue T (1991) Bone mineral density of the spine in normal Japanese subjects using dual energy X-ray absorptiometry. Calcif Tissue Int 55:324–329
11.
go back to reference Irie M, Sakakura Y, Tsuruga E, Hosokawa Y, Yajima T (2004) Three-dimensional changes of the mandible and alveolar bone in the ovariectomized rat examined by micro-focus computed tomography. J Jpn Soc Periodontol 46:288–293CrossRef Irie M, Sakakura Y, Tsuruga E, Hosokawa Y, Yajima T (2004) Three-dimensional changes of the mandible and alveolar bone in the ovariectomized rat examined by micro-focus computed tomography. J Jpn Soc Periodontol 46:288–293CrossRef
12.
go back to reference Kuroda S, Mukohyama H, Kondo H, Aoki K, Ohya K, Ohyama T, Kasugai S (2003) Bone mineral density of the mandible in ovariectomised rats: analyses using dual energy x-ray absorptiometry and peripheral quantitative computed tomography. Oral Dis 9:24–28PubMedCrossRef Kuroda S, Mukohyama H, Kondo H, Aoki K, Ohya K, Ohyama T, Kasugai S (2003) Bone mineral density of the mandible in ovariectomised rats: analyses using dual energy x-ray absorptiometry and peripheral quantitative computed tomography. Oral Dis 9:24–28PubMedCrossRef
13.
go back to reference Kurosu K, Inagaki K, Yoshinari N, Sato R, Fuma D, Sakano M, Sugiishi T, Iwata T, Fukada J, Takagi Y, Noguchi T, Naitoh M, Ariji E, Taguchi A (2004) Relationship between the bone mineral density of mandible by quantitative computed tomography and lumbar spine by dual energy X-ray absorptiometry. J Jpn Soc Periodontol 46:202–208CrossRef Kurosu K, Inagaki K, Yoshinari N, Sato R, Fuma D, Sakano M, Sugiishi T, Iwata T, Fukada J, Takagi Y, Noguchi T, Naitoh M, Ariji E, Taguchi A (2004) Relationship between the bone mineral density of mandible by quantitative computed tomography and lumbar spine by dual energy X-ray absorptiometry. J Jpn Soc Periodontol 46:202–208CrossRef
14.
go back to reference Klemetti E, Vanio P, Lassila V, Alhava E (1993) Cortical bone mineral density in the mandible and osteoporosis status in postmenopausal women. Scand J Dent Res 101:219–223PubMed Klemetti E, Vanio P, Lassila V, Alhava E (1993) Cortical bone mineral density in the mandible and osteoporosis status in postmenopausal women. Scand J Dent Res 101:219–223PubMed
15.
go back to reference Taguchi A, Tanimoto K, Suei Y, Otani K, Wada T (1996) Relationship between the mandibular and lumbar vertebral bone mineral density at different postmenopausal stages. Dentomaxillofac Radiol 25:130–135PubMed Taguchi A, Tanimoto K, Suei Y, Otani K, Wada T (1996) Relationship between the mandibular and lumbar vertebral bone mineral density at different postmenopausal stages. Dentomaxillofac Radiol 25:130–135PubMed
16.
go back to reference Taguchi A, Suei Y, Ohtsuka M, Otani K, Tanimoto K, Ohtaki M (1996) Usefulness of panoramic radiography in the diagnosis of postmenopausal osteoporosis in women: width and morphology of inferior cortex of the mandible. Dentomaxillofac Radiol 25:263–267PubMed Taguchi A, Suei Y, Ohtsuka M, Otani K, Tanimoto K, Ohtaki M (1996) Usefulness of panoramic radiography in the diagnosis of postmenopausal osteoporosis in women: width and morphology of inferior cortex of the mandible. Dentomaxillofac Radiol 25:263–267PubMed
17.
go back to reference NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy (2001) Osteoporosis prevention, diagnosis, and therapy. JAMA 285:785–795CrossRef NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy (2001) Osteoporosis prevention, diagnosis, and therapy. JAMA 285:785–795CrossRef
18.
go back to reference Tamai M, Ishii Y (1996) The study on changes of bone mineral content of mandible by quantitative computed tomography. J Jpn Stomatol Soc 45:97–104 Tamai M, Ishii Y (1996) The study on changes of bone mineral content of mandible by quantitative computed tomography. J Jpn Stomatol Soc 45:97–104
19.
go back to reference Takaishi Y, Okamoto Y, Ikeo T, Morii H, Takeda M, Hide K, Arai T, Nonaka K (2005) Correlations between periodontitis and loss of mandibular bone in relation to systemic bone changes in postmenoposal Japanese women. Osteoporos Int 16:1875–1882PubMedCrossRef Takaishi Y, Okamoto Y, Ikeo T, Morii H, Takeda M, Hide K, Arai T, Nonaka K (2005) Correlations between periodontitis and loss of mandibular bone in relation to systemic bone changes in postmenoposal Japanese women. Osteoporos Int 16:1875–1882PubMedCrossRef
20.
go back to reference Von Wowern N, Stoltze K (1980) Pattern of age related bone loss in mandibles. Scand J Dent Res 88:134–146 Von Wowern N, Stoltze K (1980) Pattern of age related bone loss in mandibles. Scand J Dent Res 88:134–146
21.
go back to reference Kribbs PJ, Chesnut CH 3rd, Ott SM, Kilcoyne RF (1990) Relationship between mandibular and skeletal bone in a population of normal women. J Prosthet Dent 63:86–89PubMedCrossRef Kribbs PJ, Chesnut CH 3rd, Ott SM, Kilcoyne RF (1990) Relationship between mandibular and skeletal bone in a population of normal women. J Prosthet Dent 63:86–89PubMedCrossRef
22.
go back to reference Trisi P, Rao W (1999) Bone classification: clinical-histomorphometric comparison. Clin Oral Implants Res 10:1–7PubMedCrossRef Trisi P, Rao W (1999) Bone classification: clinical-histomorphometric comparison. Clin Oral Implants Res 10:1–7PubMedCrossRef
Metadata
Title
Influence of menopause on mandibular bone quantity and quality in Japanese women receiving dental implants
Authors
M. Munakata
N. Tachikawa
E. Honda
M. Shiota
S. Kasugai
Publication date
01-12-2011
Publisher
Springer-Verlag
Published in
Archives of Osteoporosis / Issue 1-2/2011
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-011-0058-8

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